This study aimed to investigate the hydration influence on the autonomic responses of coronary artery disease subjects in the immediate recovery period after a cardiovascular rehabilitation session, in view of the risks of a delayed autonomic recovery for this population. 28 males with coronary artery disease were submitted to: (I) Maximum effort test; (II) Control protocol (CP), composed by initial rest, warm-up, exercise and passive recovery; (III) Hydration protocol (HP) similar to CP, but with rehydration during exercise. The recovery was evaluated through the heart rate (HR) variability, HR recovery and by the rate of perceived exertion and recovery. The main results revealed that the vagal reactivation occurred at the first 30 s of recovery in HP and after the first minute in CP. A better behavior of the HR at the first minute of recovery was observed in HP. The rate of perceived exertion had a significant decrease in the first minute of recovery in HP, while in CP this occurred after the third minute. In conclusion, despite an anticipated vagal reactivation found at HP, these results should be analyzed with caution as there were no significant differences between protocols for all variables and the effect sizes were small.
ResumoIntrodução: A Hansenísase é uma doença infecciosa que pode ser responsável pelo desenvolvimento de inúmeras sequelas. Embora seja considerada uma doença de níveis de incidência descendentes, o tratamento e acompanhamento dos pacientes persistem mesmo com a cura da doença, em virtude das incapacidades deixadas por sequelas. Objetivos: Detectar o grau de incapacidade física inicial e final ao tratamento com poliquimioterapia de 1998-2008 de pessoas com hanseníase. Material e Métodos: Foram acompanhados periodicamente, desde a primeira consulta diagnóstica até a alta clínica, 325 prontuários de pacientes com hanseníase de ambos os sexos. Foi utilizado o Formulário para Registro de Incapacidades Físicas para classificar as incapacidades em graus e localização. Os dados pertencem ao setor de fisioterapia da unidade na qual os pacientes eram avaliados e orientados com frequência enquanto, paralelamente, eram assistidos por outros profissionais, como médicos e enfermeiros para controle de sintomas e terapia medicamentosa, bem como cuidados com feridas e orientações gerais. Resultados: Após o tratamento 65% dos pacientes apresentavam grau zero de comprometimento, decorrente da redução nos graus I e II e manutenção de 1% no grau III. Conclusão: O maior problema enfrentado foi anestesia, tanto para mãos quanto para pés e olhos. O número de complicações em cada caso diminuiu após o tratamento.Descritores: Avaliação em Saúde; Doenças do Sistema Nervoso Periférico; Hanseníase. Abstract Introduction: Hansen's disease is an infectious disease responsible for the development of numerous sequelae. Although it is considered a disease with descending levels of incidence, treatment and monitoring of patients persists even with the cure of the disease due to disabilities left by these sequelae. Objective: Detect the degree of physical disability before and after the treatment with polychemotherapy involving leprosy patients from 19982-2008. Material and Methods: Periodically, we monitored 325 medical records of leprosy patients of both sex, since their first medical visit for diagnosis until their hospital discharge. We used a Physical Disability Registration Form to classify the degrees of disability and their location. Data were retrieved from the medical files of the physiotherapy sector from the facility where patients were frequently evaluated and assisted. At the same time, they were assisted by other professionals such as physicians and nurses to control symptoms and drug therapy, as well as caring for wounds and general guidelines. Results: After treatment, 65% of the patients presented disability scored as grade zero due to reduction in grades, I and II, as well as the maintenance of 1% of the patients in grade III. Conclusion: The major problem found was anesthesia for hands, feet, and eyes. In general, the number of complications decreased after treatment in each case.Descriptors: Health Evaluation; Peripheral Nervous System Diseases; Diseases, Leprosy/Hansen's Disease. IntroduçãoA hanseníase é uma doença infecciosa...
The influence of fluid replacement, realized during and after the exercise on individuals with coronary artery disease (CAD) remains poorly understood. To investigate the influence of hydration on cardiac autonomic modulation, cardiorespiratory parameters and perceived exertion and discommodity, of coronary heart patients submitted to cardiac rehabilitation (CR) session. Methods: This cross-over clinical trial, will recruit 31 adults with more than 45 years old, participants of a cardiovascular rehabilitation program, with CAD diagnosis. The participants will be submitted to an experimental protocol composed of three phases: I) Maximal stress test; II) Control protocol (CP); and III) Hydration protocol (HP). The CP and HP will consist of 10 min of rest in a supine position, 15 min of warming, 40 min of treadmill exercise, 5 min of cooling down and 60 min of rest in a supine position. In the HP, the participants will be hydrated with mineral water, based on the bodyweight reduction of the CP. The water intake will be divided into eight equal portions, offered during the treadmill exercise and recovery period. On CP and HP will be evaluated linear and nonlinear indices of heart rate variability, the heart rate, systolic blood pressure, diastolic blood pressure, respiratory rate, oxygen partial saturation, perceived exertion and discommodity on specifics moments. Conclusion: The results of this study will allow us to identify if the proposed protocol will be able to positively influence the outcomes and, consequently, if could be implement in the clinical practice.
RESUMOA hipertensão arterial sistêmica promove influência tanto na saúde física quanto na saúde mental de indivíduos hipertensos e avaliar o nível de qualidade de vida desses indivíduos, é de grande importância para fomentar ações educacionais e programas preventivos que visam as mudanças nos hábitos de vida. Assim, o presente estudo tem por objetivo avaliar o nível de qualidade de vida dos pacientes hipertensos que frequentam um programa de reabilitação cardiovascular por meio do questionário MINICHAL. Avaliou-se o nível de qualidade de vida de 46 hipertensos (66,63 ± 10,75) por meio do questionário MINICHAL. Para análise dos dados foi utilizado estatística descritiva. Os indivíduos apresentaram uma média total de 6,52 ± 5,24 pontos, 3,93 ± 3,67 pontos no domínio mental e 2,57 ± 2,29 pontos no domínio somático. Conclui-se que os hipertensos participantes de um programa de reabilitação cardiovascular apresentam baixa pontuação no questionário em questão, refletindo assim, uma boa qualidade de vida. Palavras-chave: Hipertensão, Doença Cardiovascular, Qualidade de Vida e Reabilitação Cardíaca. LEVEL OF QUALITY OF LIFE IN HYPERTENSIVE PATIENTS OF THE CARDIOVASCULAR REHABILITATION SECTOR OF THE PUBLIC UNIVERSITY OF SÃO PAULO STATE ABSTRACTSystemic arterial hypertension (SAH) promotes both the physical and mental health of hypertensive individuals and the level of quality of life of these individuals is of great importance to promote educational actions and preventive programs that aim at changes in lifestyle habits. Thus, the present study aims to evaluate the level of quality of life of hypertensive patients who attend a cardiovascular rehabilitation program through the MINICHAL questionnaire. The quality of life of 46 hypertensive patients (66.63 ± 10.75) was evaluated using the MINICHAL questionnaire. Descriptive statistics were used to analyze the data. The subjects had a mean of 6.52 ± 5.24 points, 3.93 ± 3.67 points in the mental domain and 2.57 ± 2.29 points in the somatic domain. It is concluded that the hypertensive participants of a cardiovascular rehabilitation program present low scores in the questionnaire in question, reflecting, thus, a good quality of life.
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